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本科医学生抗击COVID-19的准备情况:关于培训计划有效性和效率及未来前景的三级医疗经验

Preparedness of Undergraduate Medical Students to Combat COVID-19: A Tertiary Care Experience on the Effectiveness and Efficiency of a Training Program and Future Prospects.

作者信息

Kulshreshtha Poorvi, Bahurupi Yogesh, Dhar Mridul, Sharma Sameer, Kathrotia Rajesh, Rao Shalinee, Naithani Manisha, Gupta Manoj

机构信息

Physiology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.

出版信息

Cureus. 2022 Mar 8;14(3):e22971. doi: 10.7759/cureus.22971. eCollection 2022 Mar.

Abstract

Introduction Due to the nature of the coronavirus disease 2019 (COVID-19) pandemic, final year medical undergraduate students have had to be involved in patient management in different countries. The same was the case with India. This study was conducted with the objective to analyze the effectiveness and efficiency of preparedness training to combat COVID-19 in pre-final and final-year medical students at a tertiary care institute in North India. Methods A pre-post study was conducted among final and pre-final year medical undergraduate students. Data was collected as pre-test and post-test multiple-choice questions (MCQs) and clinical vignettes. Results A total of 179 medical undergraduate students attended the training. Scores on general instructions, personal protective equipment (PPE) donning and doffing, hand hygiene, biomedical waste management, contact tracing, cleaning and disinfection, ECG, and COVID-19 management improved significantly after the training. Pre-test scores on ECG, simulation, COVID-19 management were 21.58±5.311, 17.05±4.501, and 23.84±4.067, respectively. Post-test scores on ECG, simulation, COVID-19 management were 28.01±6.826, 23.84±4.067, and 6.93±1.726, respectively. Pre-test and post-test scores were statistically significant (p=0.0001).  Discussion Our preparedness training program was effective in delivering the intended skills. The efficiency of the training program was demonstrated through simulation. We created a trained pool of medical undergraduate students to assist clinicians in COVID-19-related supportive care.

摘要

引言 由于2019年冠状病毒病(COVID-19)大流行的性质,各国的医学本科最后一年学生都不得不参与患者管理。印度的情况也是如此。本研究旨在分析印度北部一家三级医疗机构中,针对医学本科预毕业和毕业年级学生开展的抗击COVID-19准备培训的有效性和效率。方法 对医学本科毕业年级和预毕业年级学生进行了一项前后对照研究。数据通过测试前和测试后的多项选择题(MCQ)以及临床病例 vignettes 收集。结果 共有179名医学本科学生参加了培训。培训后,在一般指导、个人防护装备(PPE)穿戴与脱卸、手卫生、生物医学废物管理、接触者追踪、清洁与消毒、心电图以及COVID-19管理方面的得分有显著提高。心电图、模拟、COVID-19管理的测试前得分分别为21.58±5.311、17.05±4.501和23.84±4.067。心电图、模拟、COVID-19管理的测试后得分分别为28.01±6.826、23.84±4.067和6.93±1.726。测试前和测试后得分具有统计学显著性(p = 0.0001)。讨论 我们的准备培训计划有效地传授了预期技能。通过模拟展示了培训计划的效率。我们创建了一个经过培训 的医学本科学生库,以协助临床医生进行与COVID-19相关的支持性护理。

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